Well, I went for chemo today and I did not disappoint the doctors; my blood counts (though a little low) were good enough for me to get my infusion. A particularly good piece of news is that my CA19-9 level two weeks ago was 3 (down from 5). Dr. Kauh seemed to think the fact that it was still down was a good sign.
Dr. Kauh and I talked about my treatment regimen moving forward. He decided that given my (lack of) tolerance for Gemzar, that he wants me to try a 1 on, 1 off cycle; essentially, I’ll go in for chemo every other week. He said he wanted to see how I did after 4 months and then possibly continue through to 6 months.
Unfortunately, the scientist in me wonders how this decision will affect the efficacy of the drug. Originally, Dr. Kauh talked about me being on a 3 on, 1 off cycle for 6 months, for a total of 18 treatments. Now, he’s talking about essentially 8 treatments (twice a month for 4 months) with the possibility of an additional 4 treatments. I just wonder if the drug is as effective if I don’t get as much of it.